NR 509 WEEK 6 QUIZ
Grade Details - All Questions
Question 1. Question : When performing a genitourinary assessment, the nurse notices that
the urethral meatus is positioned ventrally. This finding is
Student
Answer: called hypospadias.
the result of phimosis.
probably due to a stricture.
often associated with aging.
Instructor Normally, the urethral meatus is positioned just about centrally. Hypospadias is
Explanation: the ventral location of the urethral meatus. The position of the meatus does not
change with aging. Phimosis is the inability to retract the foreskin. A stricture is a
narrow opening of the meatus.
Question 2. Question : When performing a genital assessment on a middle-aged man, the
nurse notices multiple soft, moist, painless papules in the shape of
cauliflower-like patches scattered across the shaft of the penis. These
lesions are characteristic of
Student
Answer: carcinoma.
syphilitic chancres.
genital herpes.
genital warts.
Instructor The lesions of genital warts are soft, pointed, moist, fleshy, painless papules that
Explanation: may be single or multiple in a cauliflower-like patch. They occur on the shaft of the
penis, behind the corona, or around the anus, where they may grow into large
grape-like clusters. See Table 24-4 for more information and for descriptions of
the other options.
Question 3. Question : When performing a scrotal assessment, the nurse notices that the
scrotal contents transilluminate and show a red glow. On the basis of
this finding the nurse would
Student Answer:
assess the patient for the presence of a hernia.
suspect the presence of serous fluid in the scrotum.
consider this normal and proceed with the examination.
, refer the patient for evaluation of a mass in the scrotum.
Instructor Normal scrotal contents do not transilluminate. Serous fluid does
Explanation: transilluminate and shows as a red glow. Neither a mass nor a hernia would
transilluminate.
Question 4. Question : When the nurse is performing a testicular examination on a 25-year-
old man, which of these findings is considered normal?
Student Answer:
Nontender subcutaneous plaques
A scrotal area that is dry, scaly, and nodular
Testes that feel oval and movable and are slightly sensitive to
compression
A single, hard, circumscribed, movable mass, less than 1 cm
under the surface of the testes
Instructor Testes normally feel oval, firm and rubbery, smooth, and equal bilaterally and
Explanation: are freely movable and slightly tender to moderate pressure. The scrotal skin
should not be dry, scaly, or nodular or contain subcutaneous plaques. Any
mass would be an abnormal finding.
Question 5. Question : A 45-year-old mother of two children is seen at the clinic for
complaints of “losing my urine when I sneeze.” The nurse documents
that she is experiencing
Student
Answer: urinary frequency.
enuresis.
stress incontinence.
urge incontinence.
Instructor Stress incontinence is involuntary urine loss with physical strain, sneezing, or
Explanation: coughing that occurs due to weakness of the pelvic floor. Urinary frequency is
urinating more times than usual (more than 5 to 6 times per day). Enuresis is
involuntary passage of urine at night after age 5 to 6 years (bed wetting). Urge
incontinence is involuntary urine loss from overactive detrusor muscle in the
bladder. It contracts, causing an urgent need to void.
Question 6. Question : When performing a genital examination on a 25-year-old man, the
nurse notices deeply pigmented, wrinkled scrotal skin with large
sebaceous follicles. On the basis of this information the nurse would
Student Answer:
squeeze the glans to check for the presence of discharge.
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